go back

Maine rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.68 / $1,391.80 / $1,391.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.49 / $1,101.78 / $1,835.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.23 / $814.23 / $814.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.45 / $1,717.98 / $2,127.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.83 / $1,361.59 / $2,088.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.80 / $1,391.80 / $1,391.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,542.00 / $7,542.00 / $7,542.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.72 / $1,171.92 / $1,751.40